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Related Experiment Video

Updated: Sep 2, 2025

Single-stage Dynamic Reanimation of the Smile in Irreversible Facial Paralysis by Free Functional Muscle Transfer
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Interfacility Transfer Guidelines for Isolated Facial Trauma: A Multidisciplinary Expert Consensus.

Matthew E Pontell1, Jordan P Steinberg1, Donald R Mackay1

  • 1From the Department of Plastic Surgery and Department of Medical Bioinformatics, Center for Biomedical Ethics and Society, Vanderbilt University Medical Center; Departments of Plastic and Reconstructive Surgery and Otolaryngology-Head and Neck Surgery, Johns Hopkins University School of Medicine; Division of Plastic Surgery, Penn State Health Milton S. Hershey Medical Center; Hansjörg Wyss Department of Plastic Surgery, New York University Langone Health; Department of Otolaryngology-Head and Neck Surgery, University of California, Davis; Department Otolaryngology-Head and Neck Surgery, Division of Oral and Maxillofacial Surgery, Northwestern University Feinberg School of Medicine, Ann and Robert H. Lurie Children's Hospital, Northwestern Memorial Hospital; Department of Otolaryngology-Head and Neck Surgery, Division of Facial Plastic and Reconstructive Surgery, University of Kansas Medical Center; Division of Pediatric Plastic Surgery, Division of Cleft and Craniofacial Surgery, Monroe Carell Jr. Children's Hospital at Vanderbilt; Department of Oral and Maxillofacial Surgery, University of Pittsburgh Medical Center; Department of Plastic and Reconstructive Surgery, Icahn School of Medicine at Mount Sinai; Division of Oral and Maxillofacial Surgery, Loyola University Medical Center; Craniofacial Center at Seattle Children's Hospital, University of Washington Harborview Medical Center; and Department of Plastic and Hand Surgery, Regionals Hospital, University of Minnesota Medical Center.

Plastic and Reconstructive Surgery
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Summary
This summary is machine-generated.

New guidelines aim to improve craniomaxillofacial trauma patient transfers. Developed by experts, these guidelines help streamline care for facial trauma, reducing costs and improving emergency medical services.

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Area of Science:

  • Trauma Surgery
  • Plastic Surgery
  • Oral and Maxillofacial Surgery

Background:

  • Craniomaxillofacial trauma requires complex transfer decisions.
  • Overtriage of trauma patients can strain resources and delay care.

Purpose of the Study:

  • To develop evidence-based guidelines for transferring patients with isolated craniomaxillofacial trauma.
  • To standardize the management of facial trauma cases.

Main Methods:

  • A national multidisciplinary expert panel was convened.
  • The modified Delphi process was used to collect expert opinions.
  • Consensus was defined as 90% agreement on transfer guidelines.

Main Results:

  • Thirteen transfer guidelines were established after four consensus rounds.
  • Twelve guidelines achieved the predefined consensus level.
  • Guidelines cover fractures of the frontal sinus, orbit, midface, mandible, and soft-tissue injuries.

Conclusions:

  • The developed guidelines serve as a tool to improve and streamline care for facial trauma patients.
  • Implementing these guidelines can decrease healthcare expenditures associated with overtriage.
  • These guidelines aim to decompress emergency medical systems and tertiary emergency departments.